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Review Article
Mechanisms of Disease
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Volume 341:1276-1283 October 21, 1999 Number 17
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Signaling Pathways for Cardiac Hypertrophy and Failure
John J. Hunter, M.D., and Kenneth R. Chien, M.D., Ph.D.

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Heart failure is a leading cause of mortality in the United States. As a result of advances in genetic technology, a molecular basis of heart failure is emerging.1,2 This review highlights the ways in which these insights are leading to new therapeutic targets in patients with acquired forms of heart failure.

Morphologic Classification of Cardiac Hypertrophy

Myocardial hypertrophy is an early milestone during the clinical course of heart failure and an important risk factor for subsequent cardiac morbidity and mortality. In response to a variety of mechanical, hemodynamic, hormonal, and pathologic stimuli, the heart adapts to increased demands for cardiac work by increasing muscle mass . . . [Full Text of this Article]

Genetic Methods of Studying Cardiac Hypertrophy and Failure

Assays of Cardiac-Muscle Cells

Cardiac Hypertrophy and Failure in Genetically Altered Animals

Pressure Overload and Concentric Hypertrophy

Chamber Dilatation and Dilated Cardiomyopathy

Apoptosis of Cardiac Myocytes

Cardiac Function and Contractility

Conclusions


Source Information

From the University of California San Diego–Salk Institute Program in Molecular Medicine, Department of Medicine and Center for Molecular Genetics, University of California San Diego School of Medicine, La Jolla, Calif.

Address reprint requests to Dr. Chien at the Department of Medicine, 0613-C, University of California San Diego, 9500 Gilman Dr., La Jolla, CA 92093, or at kchien@ucsd.edu.

References


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